MEDICARE: SARAH MARIE DODDS OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0019X	Physical Rehabilitation Occupational Therapist	13618	FL
2	225100000X	Physical Therapist	PT25686	FL

General Provider Information

NPI Number	:	1093947921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MARIE DODDS OTR/L

Provider Business Mailing Address
First Line	:	PO BOX 3123
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32085-3123
Country	:	US
Telephone Number	:	904-824-4990
Fax Number	:	904-824-2226

Provider Business Practice Location Address
First Line	:	163 QUADRILLE WAY
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-2598
Country	:	US
Telephone Number	:	904-571-2965
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2009
Last Update Date	:	08/18/2025

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